Pediatric ALL Clinical Trial
Official title:
Effectiveness of EEG Neurofeedback in Pediatric Occupational Therapy to Improve Executive Functioning
EEG Neurofeedback is a noninvasive way that allows the central nervous system to self regulate and the frontal cortex to be accessed through quieting of the limbic system at the subcortical level. Currently there is limited research in regards to the implications of EEG Neurofeedback, however, the investigators of this study have been using EEG Neurofeedback as a passive modality in the treatment of various pediatric clients with a variety of diagnoses and disorders. The purpose of this study is to determine whether or not EEG neurofeedback is effective in improving executive functioning skills in pediatric, school aged children as a modality in traditional occupational therapy services. The investigators hypothesize that EEG neurofeedback will assist with improved sensory gating abilities, therefore allowing for higher levels of cognition and awareness due to increased opportunities for the brain to regulate itself.
Electroencephalogram (EEG) Neurofeedback is a noninvasive way to allow the central nervous
system to self regulate and calm the brain enough to allow the frontal cortex to function in
an ideal state, which is the part of the brain that controls important functions including
behavior, problem solving, memory, language, emotions, and judgment. There is limited
research in regards to the use of EEG Neurofeedback, however, occupational therapists Cat
Young and Lauren Hall have been using EEG Neurofeedback alongside traditional therapy as
'background noise' with pediatric clients. These therapists have observed children experience
steady increases in speech and language abilities, self-care tasks such as becoming potty
trained, and better abilities to understand self-regulation of emotions with EEG
Neurofeedback when used together with traditional occupational therapy services. EEG
Neurofeedback is performed via a musical medley that lasts for about 34 minutes, with
baseline numbers taken at the beginning and after the music finishes. During this time, the
participant will wear headphones, sensory clips on the ears (3 total), and two sensors on
their head.
The purpose of this study is to test the effectiveness of EEG Neurofeedback in improving
executive functioning skills in pediatric school aged children. The investigators hypothesize
is that the EEG Neurofeedback will allow the body to filter out unnecessary information and
white noise to focus on the task at hand, and therefore access higher levels of cognition and
awareness by helping the brain to regulate itself. This study does not require additional
time outside of the therapy session. Some of these clients already received treatment in
therapy. The purpose of this consent form is to use the data gained from the client's BRIEF-2
scores and therapy sessions to test effectiveness of this device.
Furthermore, the purpose of the study is to determine potential benefits of using EEG
Neurofeedback alongside traditional occupational therapy in improving executive functioning
skills in school aged children. Requirements include children who experience impairments
based on scores of potentially clinically elevated or clinically elevated levels on the
Behavior Rating Inventory of Executive Function 2, or the BRIEF-2. This assessment is
considered the gold standard for testing executive functioning and has over 1000 peer
reviewed articles. At time of evaluation, the parent(s) or legal caregiver(s) will be given
one (1) BRIEF-2 parental rating scale, which will take an average of 10-15 minutes to
complete. Each question will be answered via a three point scale for whether they see the
specific behavior often, sometimes, or never. Potential benefits include improved ability to
stay on task, organize and complete tasks. There is minimal risk associated with the use of
EEG Neurofeedback. Children might experience discomfort with the sensors placed on their head
and attached to their ears. Some children might initially feel uncomfortable with the
experience of being a relaxed alert state if they are prone to being in heightened alert
states.
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